NPI 1083017271

Banee Madison, PA

Practitioner Physician Assistant Lafayette, LA

Practice location

Address: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902
Phone: (337) 561-9100

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 200759 (LA)

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Registry record

NPI: 1083017271
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Oct 2014
Record last updated: 5 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.